Provider Demographics
NPI:1265285811
Name:SCHAAR, MOLLY B (LLMFT)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:B
Last Name:SCHAAR
Suffix:
Gender:F
Credentials:LLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 PEACHTREE LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-1835
Mailing Address - Country:US
Mailing Address - Phone:574-584-4742
Mailing Address - Fax:
Practice Address - Street 1:5900 S MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-2378
Practice Address - Country:US
Practice Address - Phone:248-843-2160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4151001136106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist